| NPI | 1346755675 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AL 3-001501) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MS 902447) |
| Enumeration Date | 2017-12-08 |
| Last Update Date | 2023-12-14 |